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Costs

Course / Costs

Overview of Costs

The total cost of fertility preservation varies based on:

  • Type of preservation (oocyte, sperm, embryo, or tissue)

  • Urgency of the procedure

  • Geographic location and clinic pricing

  • Laboratory techniques and testing add-ons

  • Duration of cryostorage

In general:

  • Female fertility preservation (egg or embryo freezing): USD $8,000–$15,000 per cycle (excluding medications)

  • Sperm freezing: USD $500–$1,000 (initial collection and analysis)

  • Ovarian or testicular tissue preservation: USD $5,000–$10,000 (surgical and cryostorage costs)

At Surrogacy4All, we collaborate with fertility centers that provide transparent, itemized pricing structures to ensure financial clarity and planning from the outset.

Clinic and Laboratory Costs

Clinic Costs

Clinic fees include:

  • Initial fertility consultation and reproductive hormone testing

  • Ultrasound monitoring during ovarian stimulation

  • Office-based procedures (e.g., egg retrieval, sperm collection)

  • Pre-procedure screening for infectious diseases (HIV, Hepatitis B/C)

Laboratory Costs

Laboratory fees are associated with:

  • Oocyte identification and preparation

  • Sperm washing and cryopreservation

  • Embryo culture, development, and vitrification

  • Quality assurance, temperature monitoring, and recordkeeping

Most fertility clinics in the U.S. use vitrification for oocyte and embryo preservation due to its superior survival rates compared to older slow-freeze methods.

Drug Costs

Ovarian stimulation medications are a major contributor to overall expense. These include:

  • Gonadotropins (FSH, LH analogues such as Gonal-F®, Menopur®, Follistim®)

  • GnRH antagonists (Cetrotide®, Ganirelix®)

  • Trigger medications (hCG, Lupron®)

  • Aromatase inhibitors (Letrozole) for hormone-sensitive cancers

Estimated cost range:
USD $3,000–$6,000 per cycle, depending on dosage and patient response.

For patients undergoing urgent preservation prior to chemotherapy, low-estrogen stimulation protocols are preferred—these may adjust medication types and costs slightly.

Freezing Eggs or Embryos, ICSI, and PGT-A

Egg Freezing

After stimulation and retrieval, mature oocytes are cryopreserved via vitrification.
Typical cost: $2,000–$4,000 for cryopreservation and laboratory handling per cycle (excluding medications).

Embryo Freezing

If sperm is available, oocytes can be fertilized immediately to form embryos for freezing.
Typical cost: $10,000–$15,000 for the complete IVF + freezing cycle (excluding medications).

ICSI (Intracytoplasmic Sperm Injection)

Used when sperm quality or count is low, or when only a limited number of oocytes are available.
Typical cost: $1,000–$2,000 add-on per cycle.

PGT-A (Preimplantation Genetic Testing for Aneuploidy)

Optional but valuable for patients with known hereditary risks or those planning future surrogacy.
Typical cost: $2,000–$4,000, depending on the number of embryos tested.

Surrogacy4All’s partner clinics offer bundled pricing that may combine these services at reduced rates, especially for oncology-related preservation.

Storage Costs

Long-term cryostorage requires consistent temperature monitoring (-196°C in liquid nitrogen) and secure tracking systems.
Typical annual costs:

  • Oocytes or embryos: USD $300–$800 per year

  • Sperm samples: USD $150–$400 per year

Many clinics offer discounted multi-year plans or third-party storage facilities.
Surrogacy4All assists patients in selecting accredited storage facilities with robust fail-safe systems and nationwide transfer capabilities.

Tax Savings

Fertility preservation costs are considered medical expenses under U.S. tax law when performed to prevent iatrogenic infertility (i.e., infertility caused by medical treatment such as chemotherapy).

Key considerations:

  • Expenses may be tax deductible under IRS Publication 502 if they exceed 7.5% of adjusted gross income (AGI).

  • Patients using Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) can pay using pre-tax dollars, effectively reducing cost by 20–35% depending on income bracket.

  • Documentation from both the oncologist and fertility specialist is essential for eligibility.

Working Through Your Employer

An increasing number of U.S. employers now partner with fertility benefits programs such as:

  • Progyny

  • Carrot Fertility

  • WINFertility

  • Kindbody

These programs often cover:

  • Partial or full fertility preservation cycles

  • Medication costs

  • Storage for a defined period

  • Coordination with oncology care teams

At Surrogacy4All, we assist individuals in navigating their employer-based fertility coverage and connect them with appropriate benefit administrators to ensure timely approvals.

Using Insurance in the United States

Coverage for fertility preservation in cancer patients is rapidly expanding.
As of 2025, over 15 U.S. states have mandated insurance coverage for iatrogenic infertility preservation, including California, Illinois, New York, and Colorado.

Insurance plans may cover:

  • Consultation and diagnostic testing

  • Ovarian stimulation and retrieval

  • Sperm collection and cryopreservation

  • Embryo or egg freezing when infertility is likely from medical treatment

Surrogacy4All’s medical coordinators routinely work with insurance carriers to confirm coverage details and obtain pre-authorizations. Our nationwide network ensures that patients, regardless of location, can access compliant and cost-effective fertility preservation services.